How often does an ectopic pregnancy sac rupture?

After being diagnosed with ectopic pregnancy, it is important to terminate the pregnancy in time. Once the gestational sac ruptures, it will cause heavy bleeding and even threaten the patient's life. It is unfortunate to encounter an ectopic pregnancy. When wondering how to treat it, many women worry that the gestational sac of the ectopic pregnancy may rupture. So, how soon will the ectopic pregnancy sac rupture? Let’s take a look below.

Clinically, when the ectopic pregnancy sac is larger than 3cm, it is prone to rupture, and usually ruptures in the 6th or 8th week. The size of the rupture, whether large or small, is closely related to the location where the fertilized egg implants. Because ectopic pregnancy mainly refers to ectopic pregnancy in the fallopian tube, if it is in the ampulla or upper part of the fallopian tube, it is most likely to result in miscarriage. If it is in the interstitial part, it will rupture later, but it is also the most dangerous. At the same time, if the pregnancy occurs in the isthmus of the fallopian tube, rupture may usually occur before 6 weeks. Therefore, when abdominal pain and irregular vaginal bleeding occur, you should go to the hospital for diagnosis as soon as possible.

What to do if you have an ectopic pregnancy

1. Traditional drug conservative treatment of ectopic pregnancy.

Conservative drug treatment is a treatment method for early ectopic pregnancy, and it should also be divided into suitable populations. Conservative drug treatment is suitable for people whose fallopian tube has not ruptured, whose tubal pregnancy mass is less than 3cm in diameter, who have no obvious internal bleeding, and whose blood HCG is less than 2000U/L. This treatment method causes less harm to patients, but the killed embryos are polarized in situ, which can easily cause blockage of the fallopian tubes and affect fertility. Therefore, female patients should use it with caution, especially those who want to have children should not try this method lightly.

2. Fallopian tube fenestration and suture to treat ectopic pregnancy.

When the fallopian tube is not ruptured or the rupture is small, hysteroscopy can be used. First, the fallopian tube is cut open to remove the embryo, and then it is sutured to maintain the function of the fallopian tube. Hysteroscopic and laparoscopic surgery can reduce the risks of surgery. It is painless, does not bleed, heals quickly, and leaves no scars. It greatly reduces the recurrence rate of the disease and is the best treatment for ectopic pregnancy currently advocated. Laparoscopic minimally invasive surgery is a minimally invasive surgery for ectopic pregnancy that preserves fertility to the greatest extent possible, allowing patients to rekindle their hope of having a child.

3. Salpingectomy is used to treat ectopic pregnancy.

Salpingectomy is generally performed for ectopic pregnancy with severe fallopian tube rupture that is difficult to repair and accompanied by symptoms of hemorrhagic shock. The only option is to remove the fallopian tube on the affected side.

After learning some knowledge about ectopic pregnancy, pregnant mothers must be highly vigilant about this dangerous acute abdomen. Through the above introduction, ectopic pregnancy does not necessarily require fallopian tube removal. If a female friend has symptoms of ectopic pregnancy, she should seek treatment in time and try to minimize the damage.